{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T16:53:59Z","timestamp":1781542439571,"version":"3.54.5"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":147,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>In order to fit with National Institute for Health and Care Excellence (NICE) guidelines on arthritis, we established a \u2018very early arthritis clinic\u2019 (v-EAC) to evaluate patients within 48\u2009h of a medical referral for any suspected arthritis of &amp;lt;1-month duration. We describe the characteristics of patients referred to the v-EAC from 2 October 2023 to 1 October 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Delay of referral was recorded. A systematic and standardized clinical, biological and ultrasound evaluation of all consecutive patients was conducted. Patients and disease characteristics are described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 900 patients were evaluated within a median delay of 1\u2009day after referral: 51% were women and the median age was 55\u2009years (IQR 42\u201367). Among these patients, 37% were referred by emergency departments, 28% by rheumatologists, 18% by general practitioners and 17% by other specialists. For 46% of patients, it was the first episode of a swollen joint, with a median symptom duration of 14\u2009days (IQR 5\u201344) and a mean number of 1.3 (s.d. 1.9) swollen joints. Inflammatory arthritis was confirmed in 63% of cases and diagnoses were flare of immune-mediated inflammatory disease (IMID)-related arthritis in 35% of cases (half of which represented the first manifestation of an IMID-related arthritis), crystal-related arthritis in 27% (mostly gout) and infectious disease in 8.0% (including 34 bursitis and 13 septic arthritis). Joint aspiration was performed in 414 patients (46%). Corticosteroid-derivative injections were administered to 31% of patients and hospitalization was required in 10% of cases [median stay 6\u2009days (IQR 4\u20138)].<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A dedicated care pathway can make the NICE guidelines regarding management of arthritis reachable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/rap\/rkag055","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T11:17:54Z","timestamp":1779794274000},"source":"Crossref","is-referenced-by-count":0,"title":["900 patients evaluated within a median of 1\u2009day from referral in a very early arthritis clinic in France"],"prefix":"10.1093","volume":"10","author":[{"given":"Esther","family":"Ebstein","sequence":"first","affiliation":[{"name":"Rheumatology Department, Universit\u00e9 Paris Cit\u00e9, H\u00f4pital Bichat\u2013Claude Bernard , Paris,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3766-9600","authenticated-orcid":false,"given":"Pierre-Antoine","family":"Juge","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Universit\u00e9 Paris Cit\u00e9, H\u00f4pital Bichat\u2013Claude Bernard , Paris,","place":["France"]},{"name":"Centre for Research in Epidemiology and Statistics (CRESS), Universit\u00e9 Paris Cit\u00e9 and Universit\u00e9 Sorbonne Paris Nord, Inserm, INRAE , Paris,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marine","family":"Forien","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Universit\u00e9 Paris Cit\u00e9, H\u00f4pital Bichat\u2013Claude Bernard , 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Paris,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sirine","family":"Mahjoub","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Universit\u00e9 Paris Cit\u00e9, H\u00f4pital Bichat\u2013Claude Bernard , Paris,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Klimek","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Universit\u00e9 Paris Cit\u00e9, H\u00f4pital Bichat\u2013Claude Bernard , Paris,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2246-1986","authenticated-orcid":false,"given":"Anna","family":"Molto","sequence":"additional","affiliation":[{"name":"Rheumatology Department, Universit\u00e9 Paris Cit\u00e9, H\u00f4pital Bichat\u2013Claude Bernard , Paris,","place":["France"]},{"name":"Centre for Research in Epidemiology and Statistics (CRESS), Universit\u00e9 Paris Cit\u00e9 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